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Cosmetic outcome of Y-V medial canthoplasty in blepharophimosis syndrome.

AbstractOBJECTIVE:
To determine the cosmetic outcome of Y-V medial canthoplasty with medial canthal tendon shortening in Blepharophimosis syndrome.
STUDY DESIGN:
Quasi experimental study.
PLACE AND DURATION OF STUDY:
Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from June 2005 to April 2008.
METHODOLOGY:
Thirteen patients of Blepharophimosis syndrome aged 4 years and above were included in the study. Oculoplastic assessment including measurement of horizontal length of palpebral fissure, ptosis and intercanthal distance were done. All patients underwent Y-V medial canthoplasty with medial canthal tendon shortening by a single surgeon. Same measurements were repeated one week postoperatively and then 6 weeks after surgery and results compared with pre-operative findings.
RESULTS:
Twenty six eyes of 13 patients were included in the study. Ten (77%) patients were female and 3 (23%) were male. Mean age of all patients was 13.54 ± 6.99 years with a range from 4 to 28 years. Mean horizontal length of palpebral fissure of all 26 eyes was 22.88 mm before surgery and increased to 26.77 mm after surgery. Vertical pre-operative and postoperative height of palpebral fissure was 5.69 mm and 5.34 mm respectively. Mean pre-operative intercanthal distance of 37.46 mm was reduced to 32.08 mm postoperatively. Epicanthus inversus which was present in all (100%) eyes before surgery was successfully treated in 22 (84.6%) eyes after surgery.
CONCLUSION:
Y-V medial canthoplasty with medial canthal shortening in Blepharophimosis syndrome has excellent cosmetic outcome.
AuthorsIbrar Hussain, Tajamul Khan
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 23 Issue 3 Pg. 182-5 (Mar 2013) ISSN: 1681-7168 [Electronic] Pakistan
PMID23458039 (Publication Type: Journal Article)
Topics
  • Adolescent
  • Adult
  • Blepharophimosis (surgery)
  • Blepharoplasty (methods)
  • Blepharoptosis (surgery)
  • Child
  • Child, Preschool
  • Esthetics
  • Female
  • Hospitals, Teaching
  • Humans
  • Male
  • Pakistan
  • Postoperative Period
  • Syndrome
  • Treatment Outcome
  • Young Adult

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